| Organization Name: | PHYSICIANS IMMEDIATE CARE LTD |
| NPI Number: | 1528046323 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MONICA KLOSA (DIRECTOR OF BILLING SERVICES) |
| Mailing Address: | 10100 Forest Hills Rd Machesney Park |
| State: | IL US |
| Postal Code: | 611158234 |
| Phone Number: | 8157132600 |
| Fax Number: | 8156548020 |
| NPI Enumeration Date: | 01/03/2006 |
| NPI Last Update Date: | 07/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |